Case Study of Arkansas - Mathematica Policy Research

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Figure 4 Quarterly New Entries to Public Health Coverage, Local CKF Project Areas: Actual versus Expected, October 1999 - September 2003 Northwestern Arkansas ARKids 2,500 Actual Expected 2,000 Number of New Entriess 1,500 1,000 500 CKF Start Date: January 2002 0 1999- Q4 2000- Q1 2000- Q2 2000- Q3 2000- Q4 2001- Q1 2001- Q2 2001- Q3 2001- Q4 Quarter 2002- Q1 2002- Q2 2002- Q3 2002- Q4 2003- Q1 2003- Q2 2003- Q3 Northwestern Arkansas ARKids Community Health Network 1,200 1,000 Actual Expected Number of New Entries 800 600 400 200 CKF Start Date: January 2002 0 1999- Q4 2000- Q1 2000- Q2 2000- Q3 2000- Q4 2001- Q1 2001- Q2 2001- Q3 2001- Q4 Quarter 2002- Q1 2002- Q2 2002- Q3 2002- Q4 2003- Q1 2003- Q2 2003- Q3 Source: Medicaid Statistical Information System Note: New entries include all children who enroll in Medicaid or SCHIP for the first time in the past 12 months. The trend in expected number of new entries is estimated from a regression model (see text for additional details). 15
when the area had 1,000 new entries compared with an expected count of 875, a difference of 14 percent. Differences Among Local Programs. Comparing the two programs, probably the most notable difference is not in their activities but rather in their service areas. In contrast to other parts of Arkansas, the area served by the Northwest Arkansas ARKids experienced a major economic expansion during the study period. For many years, this section of Arkansas has been easily the wealthiest area of the state and has the distinction of having “more millionaires per square mile than anywhere in the world.” 10 Corporate home to a mega-business triumvirate— Wal-Mart (retail), JB Hunt (transportation), and Tyson Foods (meat processing)—the area is known as the Golden Triangle. In January 2000, Wal-Mart informed its vendors that they would be required to locate a decision-making office within 20 miles of the Wal-Mart corporate offices by October 2004 as a condition of doing business. This mandate contributed to an influx of new businesses and high- and mid-income residents, which in turn increased the demand for labor and service sector jobs, attracting low-income families to the area. In contrast, the area served by Community Health Network continued to experience economic stagnation during the study period and remained one of the poorest regions in the state. One Community Health Network staff member noted that the area still has no major manufacturers or corporations and that job growth is nonexistent. As seen in Figure 5, the two very different economic experiences of these areas are evident in the migration of children and families living in the counties served by the two local programs. While the area served by Northwest Arkansas ARKids experienced large gains in population, the economic stagnation in the area served by Community Health Network has led to net population declines. 10 Northwest Arkansas ARKids CKF Program Director, personal interview. 16
Page 1 and 2: COVERING KIDS AND FAMILIES EVALUATI
Page 3 and 4: CONTENTS Chapter Page I INTRODUCTIO
Page 5 and 6: FIGURES Figure Page 1 QUARTERLY NEW
Page 7 and 8: enrolled in either of them in the p
Page 9 and 10: TABLE 1 KEY EVENTS IN ARKANSAS’ C
Page 11 and 12: III. HISTORY OF THE CK/CKF PROGRAM
Page 13 and 14: The CKF Program Director has been o
Page 15 and 16: Figure 1 Quarterly New Entries in P
Page 17 and 18: perceived stigma associated with tr
Page 19: To explore the possibility that loc
Page 23 and 24: Aside from this key difference in t
Page 25: VI. CONCLUSIONS Policy changes in A

Case Study of Arkansas - Mathematica Policy Research

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